Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.38 / $170.14 / $6,953.60	Facility		$96.38	$170.14	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.38 / $110.44 / $162.82	Professional		$96.38	$110.44	$162.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.18 / $191.41 / $288.27	Professional		$143.18	$191.41	$288.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.57 / $515.00 / $606.10	Facility		$110.57	$515.00	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.19 / $164.21 / $300.38	Professional		$112.19	$164.21	$300.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.56 / $146.80 / $156.44	Facility		$94.56	$146.80	$156.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $94.69 / $137.00 / $246.64	Professional		$94.69	$137.00	$246.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.20 / $194.20 / $194.20	Professional		$194.20	$194.20	$194.20
United Facility/Professional Facility Modifier Low / Median / High Price $93.00 / $724.00 / $1,741.00	Facility		$93.00	$724.00	$1,741.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.91 / $128.35 / $247.82	Professional		$92.91	$128.35	$247.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $226.41 / $468.21	Facility		$55.00	$226.41	$468.21
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $708.16 / $708.16 / $780.68	Professional		$708.16	$708.16	$780.68